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Pre-Enrolment Form

Please enter your child's details in the form below and then click "Send details to the school".

If your child has special needs please send an email to office@kildaretownet.ie outlining his or her requirements.

Child

First name:* Last name:* Gender:* PPS Number:* Date of birth:* Previous school: Note:

Has a sibling already in the school.

Yes No

Choose an Admission List

Family

Home phone number: Alt home phone number: Address:* Alternate address: Alternate address description:

Parent/Guardian 1

First name: Last name: Email: Mobile number: Work number:

Parent/Guardian 2

First name: Last name: Email: Mobile number: Work number:

Emergency Contacts (other than parents)

Name: Description: Mobile number: Home number: Work number:

Attach files:

	Attached File	Explanatory note for parents

Important

You will receive a reference number on successful submission of your application.
If you have input all of the required information above and you do not receive a reference number after submitting this form something may have gone wrong with your application and you should retry using a different browser.